Elisabeth Spichiger1,2, Maya Zumstein-Shaha3, Maria Schubert1,2, Luzia Herrmann1. 1. 1 Bereich Fachentwicklung, Direktion Pflege/MTT, Insel Gruppe, Inselspital Universitätsspital Bern. 2. 2 Pflegewissenschaft, Departement Public Health, Medizinische Fakultät, Universität Basel. 3. 3 Abteilung angewandte Forschung und Entwicklung Pflege, Department Gesundheit, Berner Fachhochschule.
Abstract
Background: To cover future health care needs of the population, new care models are necessary. The development of advanced nursing practice (ANP) offers the opportunity to meet these challenges with novel services. At the Inselspital, Bern University Hospital, ANP services and corresponding advanced practice nurse (APN) roles have been developed since 2011. Purpose: The aim is to develop innovative and evidence based ANP services to supplement health care for specific patient groups and their family members with the goal to improve safety and achieve better outcomes. Methods: Project-based ANP services are developed in close collaboration of clinical departments and the Nursing Development Unit (NDU) of the Directorate of Nursing. Structure, process and outcome data are collected for evaluation. Findings: Currently, five ANP services are established and running, eight more are in the developmental phase. Most services address the long term care of patients with chronic illnesses and their family members. Ten APNs work between 10 % and 80 %, three are leading an ANP-team. APNs work over 50 % in direct clinical practice, primarily in counselling. An ANP network connects APNs and NDU, promoting synergy and exchange. Conclusions: The available resources often constitute a challenge for the development of ANP services. Vital for the long-term success are an adequate extent of the position, the support by department directorate, the conceptual framework that is implemented across the whole hospital, and the development within project structures.
Background: To cover future health care needs of the population, new care models are necessary. The development of advanced nursing practice (ANP) offers the opportunity to meet these challenges with novel services. At the Inselspital, Bern University Hospital, ANP services and corresponding advanced practice nurse (APN) roles have been developed since 2011. Purpose: The aim is to develop innovative and evidence based ANP services to supplement health care for specific patient groups and their family members with the goal to improve safety and achieve better outcomes. Methods: Project-based ANP services are developed in close collaboration of clinical departments and the Nursing Development Unit (NDU) of the Directorate of Nursing. Structure, process and outcome data are collected for evaluation. Findings: Currently, five ANP services are established and running, eight more are in the developmental phase. Most services address the long term care of patients with chronic illnesses and their family members. Ten APNs work between 10 % and 80 %, three are leading an ANP-team. APNs work over 50 % in direct clinical practice, primarily in counselling. An ANP network connects APNs and NDU, promoting synergy and exchange. Conclusions: The available resources often constitute a challenge for the development of ANP services. Vital for the long-term success are an adequate extent of the position, the support by department directorate, the conceptual framework that is implemented across the whole hospital, and the development within project structures.
Entities:
Keywords:
Advanced Nursing Practice; Rollenentwicklung; Spitäler; Versorgungsmodelle; advanced practice nursing; evidence-based practice; evidenzbasierte Praxis; hospitals; models of care; role development
Authors: Sandra Pol-Castañeda; Miguel Ángel Rodríguez-Calero; Concepción Zaforteza-Lallemand; Carlos Javier Villafáfila-Gomila; Ian Blanco-Mavillard; Francisco Ferrer-Cruz; Joan De Pedro-Gómez Journal: Int J Environ Res Public Health Date: 2020-05-16 Impact factor: 3.390